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成人高血压的多组分训练与最佳给药策略:随机对照试验的系统评价与荟萃分析

Multicomponent Training and Optimal Dosing Strategies for Adults with Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

作者信息

López-Ruiz Isabel, Lozano Fernando, Masia María Dolores, González-Gálvez Noelia

机构信息

Facultad del Deporte UCAM, Universidad Católica de Murcia, 30107 Murcia, Spain.

General University Hospital of Ciudad Real, 13005 Ciudad Real, Spain.

出版信息

Sports (Basel). 2023 Jun 8;11(6):115. doi: 10.3390/sports11060115.

DOI:10.3390/sports11060115
PMID:37368565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10304212/
Abstract

(1) Background: Non-pharmacological interventions have demonstrated efficacy in the prevention, management, and control of hypertension. Multicomponent training confers a host of benefits to the general populace. The aim of this research was to assess the impact of multicomponent training on the blood pressure of adults with hypertension and ascertain the nature of the dose-response relationship. (2) Methods: This systematic review adhered to the PRISMA guidelines and was registered in PROSPERO. Eight studies were included, following a literature search across PubMed, Web of Science, Cochrane, and EBSCO. Randomized controlled trials implementing multicomponent training interventions on adults with hypertension were considered for inclusion. A quality assessment was performed using the PEDro scale, with a random-effects model utilized for all analyses. (3) Results: Multicomponent training yielded a significant reduction in systolic (MD = -10.40, < 0.001) and diastolic (MD = -5.97, < 0.001) blood pressure relative to the control group. Interventions lasting over 14 weeks with a minimum frequency of three sessions per week, each lasting 60 min, were deemed most effective. (4) Conclusion: An optimal training intensity was achieved with 30 min of aerobic exercise at 75% of the heart rate reserve, whereas sets of 10 repetitions at 75% of one repetition maximum produced the best outcomes in strength training.

摘要

(1) 背景:非药物干预已证明在高血压的预防、管理和控制方面具有疗效。多组分训练对普通人群有诸多益处。本研究的目的是评估多组分训练对成年高血压患者血压的影响,并确定剂量反应关系的性质。(2) 方法:本系统评价遵循PRISMA指南,并在PROSPERO中注册。在对PubMed、科学网、Cochrane和EBSCO进行文献检索后,纳入了八项研究。纳入对成年高血压患者实施多组分训练干预的随机对照试验。使用PEDro量表进行质量评估,所有分析均采用随机效应模型。(3) 结果:与对照组相比,多组分训练使收缩压(MD = -10.40,<0.001)和舒张压(MD = -5.97,<0.001)显著降低。持续超过14周、每周至少三次、每次持续60分钟的干预被认为最有效。(4) 结论:以心率储备的75%进行30分钟有氧运动可达到最佳训练强度,而在力量训练中,以一次重复最大值的75%进行每组10次重复可产生最佳效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/086a/10304212/4dc46771cb74/sports-11-00115-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/086a/10304212/53ea263b3711/sports-11-00115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/086a/10304212/4815b81f80d3/sports-11-00115-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/086a/10304212/f772928d2e29/sports-11-00115-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/086a/10304212/4dc46771cb74/sports-11-00115-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/086a/10304212/53ea263b3711/sports-11-00115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/086a/10304212/4815b81f80d3/sports-11-00115-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/086a/10304212/f772928d2e29/sports-11-00115-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/086a/10304212/4dc46771cb74/sports-11-00115-g004.jpg

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本文引用的文献

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Exercise benefits in cardiovascular diseases: from mechanisms to clinical implementation.运动对心血管疾病的益处:从机制到临床实施。
Eur Heart J. 2023 Jun 1;44(21):1874-1889. doi: 10.1093/eurheartj/ehad170.
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Low-to-Moderate-Intensity Resistance Exercise Is More Effective than High-Intensity at Improving Endothelial Function in Adults: A Systematic Review and Meta-Analysis.低强度至中等强度的抗阻运动比高强度运动更能改善成年人的血管内皮功能:系统评价和荟萃分析。
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The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.
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Exercise Reduces Ambulatory Blood Pressure in Patients With Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.运动降低高血压患者的动态血压:一项随机对照试验的系统评价和荟萃分析。
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2020 International Society of Hypertension Global Hypertension Practice Guidelines.2020年国际高血压学会全球高血压实践指南
Hypertension. 2020 Jun;75(6):1334-1357. doi: 10.1161/HYPERTENSIONAHA.120.15026. Epub 2020 May 6.
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